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https://www.readbyqxmd.com/read/29330273/rheumatoid-disease-an-unusual-cause-of-relapsing-meningoencephalitis
#1
Sian K Alexander, Maria Di Cicco, Ute Pohl, Alberto Cifelli
A 73-year-old man presented with three episodes of dysphasia and disinhibited behaviour, a single seizure and transient ischaemic attack-like events characterised by right arm and/or leg weakness. These episodes were separated by month-long asymptomatic intervals. Medical history included rheumatoid arthritis, which was clinically quiescent on leflunomide.Repeated cerebrospinal fluid examination showed a persistent lymphocytosis with mildly reduced glucose and elevated protein; oligoclonal bands and viral PCR were negative...
January 12, 2018: BMJ Case Reports
https://www.readbyqxmd.com/read/29305763/case-report-scleral-metastasis-of-esophageal-squamous-cell-carcinoma
#2
Rahim Mahmodlou, Fahimeh Asadi Amoli, Ata Abbasi, Seyed Arman Seyed Mokhtari, Sajjad Pourasghary
In this report, a case of ocular scleral metastasis was reported in a patient with a past history of esophageal squamous cell carcinoma. The patient was a 58-year-old male who was admitted to Urmia Imam Khomeini Hospital, Urmia, Iran, 8 years ago with progressive dysphasia. Seven years after initial diagnosis and treatment of esophageal cancer, the patient had no signs or symptoms of the disease. But 2 months ago, he was referred to the hospital due to ocular swelling, redness and watering. Pathologic examination of the excised lesion at Farabi Hospital reported metastasis of squamous cell carcinoma to the connective tissue of the sclera...
January 5, 2018: Ophthalmology and Therapy
https://www.readbyqxmd.com/read/29289425/post-stroke-depression-in-jordan-prevalence-correlates-and-predictors
#3
Shahnaz Mohammed Ayasrah, Muayyad M Ahmad, Iman Amin Basheti
BACKGROUND: Post-stroke depression is among the most frequent neuropsychiatric complications of stroke, and it is associated with poor prognosis and outcomes. This study aimed to assess the prevalence of depression; its correlates, and predictors among patients with stroke in Jordan. METHODS: A cross-sectional, descriptive correlation design was used among 198 patients with stroke admitted to 9 hospitals all over Jordan. Depression was assessed using the validated hospital depression subscale (HDS) of the Hospital Anxiety and Depression scale...
December 27, 2017: Journal of Stroke and Cerebrovascular Diseases: the Official Journal of National Stroke Association
https://www.readbyqxmd.com/read/29203309/spontaneous-acute-arterial-subdural-haematoma
#4
Michael J Mulcahy, Joga Chaganti, Ashraf Dower, Darweesh Al-Khawaja
BACKGROUND: Spontaneous acute arterial subdural haematoma (SDH) is a rare entity caused by haemorrhage from a cortical perisylvian artery without a known precipitant. CASE DESCRIPTION: A 53 year old man presented with a two day history of acute onset headache and dysphasia. He had a generalised seizure on arrival to hospital. There was no history of trauma. A CT demonstrated an acute left sided SDH. A CT angiogram and a digital subtraction angiogram demonstrated active contrast extravasation into the SDH...
December 1, 2017: World Neurosurgery
https://www.readbyqxmd.com/read/29196365/image-of-the-month-dysphasia-due-to-injury-of-the-corticobulbar-tract-following-traumatic-brain-injury
#5
Sung Ho Jang, Seong Ho Kim, Jeong Pyo Seo
No abstract text is available yet for this article.
December 2017: Clinical Medicine: Journal of the Royal College of Physicians of London
https://www.readbyqxmd.com/read/29194177/efficacy-of-a-micro-prompting-technology-in-reducing-support-needed-by-people-with-severe-acquired-brain-injury-in-activities-of-daily-living-a-randomized-control-trial
#6
Brian OʼNeill, Catherine Best, Lauren OʼNeill, Sara D S Ramos, Alex Gillespie
OBJECTIVE: To evaluate the effectiveness of an automated interactive prompting technology in supporting the morning routine of persons with acquired brain injury. The morning routine included maintaining personal hygiene and dressing. SETTING: An inpatient neurorehabilitation hospital. PARTICIPANTS: Persons with acquired brain injury who required prompting when following their morning routine (n = 24), but were not limited by physical disability or dysphasia, took part in the study...
November 29, 2017: Journal of Head Trauma Rehabilitation
https://www.readbyqxmd.com/read/29122785/naoxuekang-xinnaoshutong-and-xuesaitong-capsules-for-treating-stroke-a-protocol-for-a-randomised-controlled-trial
#7
Huiling Chen, Hongbo Cao, Xu Guo, Meidan Zhao, Qing Xia, Bo Chen, Tieniu Zhao, Wenyuan Gao
INTRODUCTION: After stroke, hemiplegia, dysphasia and facial paralysis can manifest during the convalescent period. Currently, no Chinese patent medicine (CPM) is previously reported to cure each of these symptoms primarily, and thus, there are no relevant instructions for the use of CPM. This study presents a new approach based on comparative effectiveness research to distinguish the curative effects of three CPMs that are often used in stroke convalescence to determine the ideal medicine for the treatment of each symptom...
November 8, 2017: BMJ Open
https://www.readbyqxmd.com/read/29062690/paroxysmal-dysphasia-in-a-68%C3%A2-year-old-man-enhancing-the-mri-spectrum
#8
Ugur Sener, William O Tatum, Alfredo Quinones-Hinojosa, Deependra Mahato, Anteneh M Feyissa
Brain tumor-related epilepsy is a common complication of primary and metastatic brain tumors with seizures often representing the first manifestation of the tumor. The size and location of the tumor can make detection of epileptiform discharges on scalp electroencephalogram and safe surgical resection challenging. We describe a case of a patient with glioblastoma multiforme presenting as dominant temporal lobe epilepsy. Seizures were manifest as episodes of speech arrest on a background of long-standing history of episodic speech difficulty and headache...
2017: Epilepsy & Behavior Case Reports
https://www.readbyqxmd.com/read/28960048/coexistence-of-radiation-induced-meningioma-and-moyamoya-syndrome-10-years-after-irradiation-against-medulloblastoma-a-case-report
#9
Ji Yeon Han, Jung Won Choi, Kyu Chang Wang, Ji Hoon Phi, Ji Yeoun Lee, Jong Hee Chae, Sung Hye Park, Jung Eun Cheon, Seung Ki Kim
Radiotherapy is one of the standard treatments for medulloblastoma. However, therapeutic central nervous system irradiation in children may carry delayed side effects, such as radiation-induced tumor and vasculopathy. Here, we report the first case of coexisting meningioma and moyamoya syndrome, presenting 10 years after radiotherapy for medulloblastoma. A 13-year-old boy presented with an enhancing mass at the cerebral falx on magnetic resonance imaging (MRI) after surgery, radiotherapy (30.6 Gy craniospinal axis, 19...
November 2017: Journal of Korean Medical Science
https://www.readbyqxmd.com/read/28957727/measuring-the-impact-of-a-point-of-view-disability-simulation-on-nursing-students-empathy-using-the-comprehensive-state-empathy-scale
#10
Tracy Levett-Jones, Samuel Lapkin, Natalie Govind, Jacqueline Pich, Kerry Hoffman, Sarah Yeun-Sim Jeong, Carol Anne Norton, Danielle Noble, Lorna Maclellan, Melissa Robinson-Reilly, Naleya Everson
BACKGROUND: Although empathy is an integral component of professional practice and person-centred care, a body of research has identified that vulnerable patients groups frequently experience healthcare that is less than optimal and often lacking in empathy. AIM: The aim of this study was to examine the impact of an immersive point-of-view simulation on nursing students' empathy towards people with an Acquired Brain Injury. SETTING AND PARTICIPANTS: A convenience sample of 390 nursing students from a cohort of 488 participated in the study, giving a response rate of 80%...
December 2017: Nurse Education Today
https://www.readbyqxmd.com/read/28927912/steinmann-pins-for-c1-lateral-mass-screw-placement-during-atlantoaxial-stabilization
#11
Joshua E Meyers, Kunal Vakharia, Joseph M Kowalski, Vassilios G Dimopoulos, John Pollina
OBJECTIVE: The authors describe a modified technique for placement of the C1 lateral mass screw using a Steinmann pin as a guide. This technique minimizes dissection and provides atlantoaxial stabilization during arthrodesis. METHODS: In our technique, a non-threaded 1.6mm spade-tip Steinmann pin is placed into the lateral mass of C1 to serve as a guide over which a powered drill is used for screw insertion. Perioperative data were collected for consecutive patients who underwent a C1-2 arthrodesis that involved the modified technique between March 2010 and July 2016...
September 16, 2017: World Neurosurgery
https://www.readbyqxmd.com/read/28927324/parasagittal-meningioma-a-not-so-benign-entity
#12
Roger W Byard
While the majority of intracranial meningiomas have an indolent clinical course, sudden and unexpected death may rarely occur. Two cases are reported to demonstrate rapid clinical deterioration resulting in death in individuals with large, grade I, parasagittal meningiomas. Case 1 was a 46-year-old man with a history of headaches and epilepsy who suddenly collapsed and died. A large right frontal parasagittal meningioma with haemorrhage had compressed the brain and lateral ventricle, causing tonsillar herniation...
January 1, 2017: Medicine, Science, and the Law
https://www.readbyqxmd.com/read/28924069/-a-case-of-transoral-penetrating-head-injury-from-a-crossbow-fired-arrow
#13
Naoto Nakamura, Yuichi Fujita, Satoshi Nakamizo, Yoshio Sakagami, Ken Okazaki, Kouta Kida
Penetrating head injuries are extremely rare in Japan. The authors describe a case involving a penetrating head injury from an arrow fired from a crossbow. A 52-year-old man who had shot himself transorally in a suicide attempt was admitted to the authors' hospital. On admission, he was conscious and exhibited no neurological deficits. The end of the arrow was visible inside his oral cavity. Computed tomography revealed the arrow had penetrated the right cerebellum and occipital lobe, resulting in a very small hematoma...
September 2017: No Shinkei Geka. Neurological Surgery
https://www.readbyqxmd.com/read/28918128/whole-network-temporal-and-parietal-lobe-contributions-to-the-earliest-phases-of-language-production
#14
Alessandro Principe, Marco Calabria, Adrià Tauste Campo, Josephine Cruzat, Gerardo Conesa, Albert Costa, Rodrigo Rocamora
We investigated whether it is possible to study the network dynamics and the anatomical regions involved in the earliest moments of picture naming by using invasive electroencephalogram (EEG) traces to predict naming errors. Four right-handed participants with focal epilepsy explored with extensive stereotactic implant montages that recorded temporal, parietal and occipital regions -in two patients of both hemispheres-named a total of 228 black and white pictures in three different sessions recorded in different days...
August 24, 2017: Cortex; a Journal Devoted to the Study of the Nervous System and Behavior
https://www.readbyqxmd.com/read/28840069/hydrocephalus-as-the-sole-presentation-of-primary-diffuse-large-b-cell-lymphoma-of-the-brain-report-of-a-case-and-review-of-literature
#15
Ahmad Pourrashidi Boshrabadi, Ali Naiem, Seyed Shahab Ghazi Mirsaeid, Kourosh Karimi Yarandi, Abbas Amirjamshidi
BACKGROUND: The most common lymphoid malignancy in adults is diffuse large B-cell lymphoma (DLBCL). The median age of occurrence of DLBCL is between 6(th) and 7(th) decade of life, although some other types of aggressive non-Hodgkin's lymphomas (NHL) are present in younger age. Primary central nervous system lymphoma (PCNSL) is an uncommon type of extranodal NHL, which is either more prevalent or is diagnosed more often than before. CASE DESCRIPTION: A 22-year-old man with ventriculoperitoneal shunt (VPS) performed at another center was referred with manifestations of shunt malfunction, unusual behavior, dysphasia, and hallucination...
2017: Surgical Neurology International
https://www.readbyqxmd.com/read/28768791/the-correlation-between-salter-s-criteria-for-avascular-necrosis-of-the-femoral-head-and-kalamchi-s-prognostic-classification-following-the-treatment-of-developmental-dysplasia-of-the-hip
#16
Y Tsukagoshi, M Kamegaya, H Kamada, T Saisu, M Morita, J Kakizaki, Y Tomaru, M Yamazaki
AIMS: The aim of this study was to evaluate the correlation between Salter's criteria and Kalamchi's classification of avascular necrosis in patients treated for developmental dysphasia of the hip (DDH). PATIENTS AND METHODS: The study involved a retrospective analysis of 123 patients (123 hips) with DDH treated by operative and non-operative reduction before the age of two years, with a minimum follow-up of ten years. Salter's criteria (S1 to S4) were determined from radiographs obtained at one to two years post-reduction, whilst the Kalamchi grade was determined from radiographs obtained at ten or more years of age...
August 2017: Bone & Joint Journal
https://www.readbyqxmd.com/read/28743388/traumatic-bilateral-dissection-of-cervical-internal-carotid-artery-in-the-wake-of-a-car-accident-a-case-report
#17
N Taoussi, A J Alghamdi, J Bielewicz, P Luchowski, K Rejdak
BACKGROUND: Bilateral carotid artery dissection secondary to severe trauma is rare and can be potentially life -threatening if not diagnosed and treated properly. CASE PRESENTATION: We report a 29-year-old female who was admitted to the emergency department after a car accident. The patient was conscious at the time of admission and presented with an initial Glasgow Coma Scale (GCS) of 15 presenting normal vital signs. The patient developed motor dysphasia with right upper limb paresis a few hours after the admission...
July 10, 2017: Neurologia i Neurochirurgia Polska
https://www.readbyqxmd.com/read/28735133/neurologic-outcome-after-resection-of-parietal-lobe-including-primary-somatosensory-cortex-implications-of-additional-resection-of-posterior-parietal%C3%A2-cortex
#18
Young-Hoon Kim, June Sic Kim, Sang Kun Lee, Chun Kee Chung
OBJECTIVE: Postoperative neurologic outcomes after primary somatosensory cortex (S1) resection have not been well documented. This study was designed to evaluate the neurologic deterioration that follows resection of the S1 areas and to assess the risk factors associated with these morbidities. METHODS: We reviewed 48 consecutive patients with medically intractable epilepsy who underwent resection of the S1 and/or the adjacent cortex. The 48 patients were categorized into 4 groups according to the resected area as seen on postoperative magnetic resonance images: group 1 (resection of S1 only; n = 4), 2 (the posterior parietal cortex [PPC] only; n = 24), 3 (S1 and PPC; n = 10), and 4 (S1 and precentral gyrus; n = 10)...
October 2017: World Neurosurgery
https://www.readbyqxmd.com/read/28693927/risk-factors-and-outcomes-of-cerebrospinal-fluid-overdrainage-in-hiv-negative-patients-with-cryptococcal-meningitis-after-the-ventriculoperitoneal-shunting-procedure
#19
Chih-Wei Hung, Wei-Che Lin, Wen-Neng Chang, Tsung-Ming Su, Chia-Te Kung, Nai-Wen Tsai, Hung-Chen Wang, Chih-Cheng Huang, Ben-Chung Cheng, Yu-Jih Su, Ya-Ting Chang, Chih-Min Su, Sheng-Yuan Hsiao, Cheng-Hsien Lu
PURPOSE: Shunt procedures used to treat cryptococcal meningitis complicated with hydrocephalus and/or increased intracranial pressure (IICP) could result in cerebrospinal fluid (CSF) overdrainage, thereby presenting therapeutic challenges. METHODS: We analyzed the clinical features and neuroimaging findings after the ventriculoperitoneal (VP) shunt procedure in 51 HIV (Human Immunodeficiency Virus)-negative patients with cryptococcal meningitis, to assess the risk factors associated with post-shunt CSF overdrainage...
June 28, 2017: Journal of Microbiology, Immunology, and Infection, Wei Mian Yu Gan Ran za Zhi
https://www.readbyqxmd.com/read/28688714/restenosis-predictors-after-carotid-angioplasty-and-stenting-and-its-influence-on-procedure-durability-single-center-experience
#20
Ossama Y Mansour, Abdelrahman Ibrahim, Mostafa Talaat
BACKGROUND: This article reports our experience regarding in-stent restenosis in the carotid arteries with special focus was given to angiographic morphology and clinical predictors of in-stent restenosis. METHODS: Between July 2008 and August 2011, 245 carotid angioplasty and stenting procedures were performed in 243 patients (172 men and 71 women). Stenting for de novo stenoses was performed in 214 (87.3%) carotid arteries, and 31 (12.7%) vessels were treated because of postsurgical restenosis...
October 2017: Journal of Stroke and Cerebrovascular Diseases: the Official Journal of National Stroke Association
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